Madaiah Revana Md Pa
LBN: Madaiah Revana Md Pa
Madaiah Revana Md Pa is an health care organization with primary practice located at 18955 N Memorial Dr Ste 400 , Humble TX 77338-4264. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy. Allopathic & Osteopathic Physicians / Interventional Cardiology is the primary health care specialty.
Madaiah Revana Md Pa can be contacted via phone (281) 446-4638, or through Revana, Madaiah via phone (281) 446-4638.
Contact Information
Primary practice address
18955 N Memorial Dr Ste 400
Humble TX 77338-4264
Phone: (281) 446-4638
Fax: (281) 973-9454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | ||
| Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy | 207UN0902X |
Profile Details
| NPI number | 1477768141 |
|---|---|
| LBN Legal business name | Madaiah Revana Md Pa |
| DBA Doing business as | |
| Authorized official | Revana, Madaiah Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 14th, 2007 |
| Last updated | Aug 11th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477768141 | NPPES |
| Texas | MEDICAID | 359911001 | |
| Texas | Other | 10016000 | |
| Texas | Other | 390396 | |
| Texas | Other | 82G136 |
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